.Financial Gloom
And Doom
For me personally
the recent financial climate has been good in as far as the pound has
been relatively strong against the euro. Financial news in all the
press and reasonable deductions that can be made from incidental
news, however, I find very worrying. And this not about the euro per
se, which I expect will stagger along from mini crisis to mini crisis
until EU mandarins find the courage to take some really unpalatable
decisions. It is about finance more generally, political stability
and the conjunction of some rather alarming straws in the wind.
The gap between the
very rich and the poor seems to be widening, even disregarding some
very dubious use of statistics in some quarters. It may well still
not be as great as it has been in previous centuries but previous
centuries sorted that out by means of some rather bloody revolutions
which it would probably be best not to repeat. Such revolutions may
not be obviously on the cards yet but protests are widespread in the
developed world and large protests can easily turn violent and get
out of hand, with unforeseen consequences.
The protests in the
developed world are easily understandable. Levels of unemployment in
Greece, Spain and Italy, for example, that would have been
inconceivable a decade ago look set to endure for quite a while
longer and can only contribute to political instability in those
countries. Claims made that pulling out of the recession imposed by
the last financial crisis meant we're all in this together are
clearly false. The net result of measures taken is that the rich
have got richer and the poor have got poorer. That simply
exacerbates political instability.
Reduction of the
price of oil to unforeseen levels points to a shrinking global
economy. When, for reasons I'm only vaguely aware of, it was deemed
necessary to raise the GDP of western economies, it seems that the
addition of trade in illegal drugs and prostitution was the only
means that could be found. And it seems that one of the few, maybe
only consistently profitable lines of business is hedge funds:
essentially a gambling casino for the very rich with odds stacked in
favour of the punter and, generally, bets on share prices falling
(and, effectively, economies shrinking). It's difficult to avoid the
conclusion that capitalism is running out of control and, unless the
major powers of the world find a way of reining it in, then
revolutions of sorts, quite possibly counter-productive, will occur.
None of these points
in isolation is necessarily that significant. Put together they
paint an alarming picture of the future. And I haven't even
mentioned terrorism.
The National
Health Service
I occasionally watch
BBC Question Time and every time I do I vow never to watch it again.
It is simply too frustrating seeing obvious questions not asked,
politicians dodging and resorting to point scoring rather than
dealing with issues and unincisive chairmanship. My last viewing, a
couple of weeks ago, was no exception.
The subject was the
NHS and the question asked was whether it could remain free at point
of delivery and affordable by the government in the future. The
question was admittedly rather badly phrased but no one on the panel
or the chairman sought to rephrase it and so everyone just passed the
time throwing bread rolls and dodging. The question should have been
what is the minimum acceptable level of service by the NHS and can
that be afforded by the government in the future. Of course the NHS
can remain both affordable and free in the future; you simply cut the
level of service, time after time.
If people are
prepared to accept weeks' delays in getting a GP appointment, 6 hour
delays in getting an ambulance and 12 hours delays in being seen in
A&E, then that can probably be provided for free into the
foreseeable future. If they want a better service, it will cost more
and may not be affordable by the government alone for free delivery.
It is almost axiomatic that better service costs more.
Lots of bread rolls
were thrown regarding private/public involvement in provision,
private medical insurance and comparisons with other countries, all
without a semblance of accurate aim. The facts are that the UK
population is growing, people are living longer and thus requiring
more professional care and medical attention and advances in medicine
are providing solutions to previously insoluble medical problems.
All those factors imply increased cost. At some point, for even the
most caring of governments, these rising costs must raise questions
as to what level of service can be delivered for free. That is the
real question: what level of service is acceptable and how should
that be funded. Personally, I think that any acceptable level of
service described by Everyman will at some point become unaffordable
for free delivery by government funding alone.
Weather
The weather has been
significantly colder over the last month, the first sign of real
winter that we have had at this year-end. The most noticeable aspect
has been the top of Mt Ventoux, which normally has an enduring
covering of snow between mid-December and March but has had that this
year only in the past month, during which time also snow has been
visible on the hills around down to about 1000ft. That must mean the
skiing season on Mt Serein started late and could well finish early.
So, unless the weather changes drastically over the next month we
will again have had an unusually clement winter.
Ian,
ReplyDeleteI think you have not got it quite right about the NHS.
One of my chums studies the NHS figures every week and there is no increase in demand for A&E services.
There is dogma about reducing the annual NHS bill by £20 billion. How that is being attempted here in north west London is by reducing the number of hospital beds and closing 4 out of 9 hospital A&Es. This is increasing waiting times, pain and death.
The clinically based NHS Direct telephone triage service has been replaced by a cheaper call centre based telephone service. Poor triage and poor diagnosis can have expensive consequences.
The elephant in the room of course is mental health. If we spend more on mental health and spend it wisely this will more than pay for itself in getting folks back to work, reducing sufferers physical illnesses (direct link here to mental illnesses) and reducing the welfare bill.
It's tragic what has happened to NHS dentistry. It has virtually disappeared and the poor and the disabled cannot get their teeth fixed.
We pay our taxes and the state provides us with a range of services. Healthcare and social care services free for all must remain priorities. The changes I would make would be to remove the commissioning nonsense and move the Local Authorities social care role into an expanded National Health and Social Care Service.